NPIMap

Organization Active NPI

Baycare Home Care, Inc.

  • Home Health Agency
  • Bradenton, FL
National Provider Identifier
1295728186
Registry record updated Jun 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HHA299991698 Issued in FL
Legal business name
BAYCARE HOME CARE, INC.
Practice address
4616 E State Road 64
Bradenton, FL 34208-9012
Phone
(941) 727-9880
Fax
(941) 727-0136
NPI assigned
Aug 25, 2005
Last updated
Jun 17, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Timisi C Johnson, RN
Title
Director
Phone
(727) 470-4609

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HHA299991698 FL Primary

Addresses

Primary practice location

4616 E State Road 64
Bradenton, FL 34208-9012

Mailing address

8452 118TH Ave
Largo, FL 33773-5007
Phone (727) 394-6461

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120329000721 FL Part A Provider - Home Health Agency 9032028725 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Lakeland, FL; Bradenton, FL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1295728186. Details of each certification follow.

Home health agency certification: CCN 107282

Legal name
BAYCARE HOME CARE, INC.
Doing business as
BAYCARE HOME CARE / LAKELAND REGIONAL HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jun 15, 1989
Last certification
Jun 30, 2017
Ownership / control type
Non-Profit
Organization structure
CorporationNon-profit
Incorporated
Jun 10, 1976 in FL
Enrollment address
20 Lake Wire Dr
Ste 230
Lakeland, FL 33815-1566
HHA Branch

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Home health agency

Medicare Care Compare
Listed as
Baycare Home Care IncCCN 107282 · All quality measures
Overall star rating
3.5 of 5
Ownership
Non-Profit
Certified
Jun 15, 1989
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory
Tax ID family
Baycare Homecare16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

Organizations that report the same tax identification number in the National Provider Directory.

View all 15

Locations

4616 E State Road 64
Bradenton, FL 34208
Phone (727) 394-6432

Networks

  • Optimum HealthCare HMO NetworkPlans: Optimum Diamond Rewards (HMO C-SNP) (H5594-028-000, H5594); Optimum Diamond (HMO C-SNP) (H5594-036-000, H5594); Optimum Diamond Rewards (HMO C-SNP) (H5594-034-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-029-000, H5594); Optimum Platinum Plan (HMO) (H5594-002-000, H5594); Optimum Gold Plus Plan (HMO) (H5594-032-000, H5594); Optimum Diamond Savings COPD (HMO C-SNP) (H5594-031-000, H5594); Optimum Diamond Savings (HMO C-SNP) (H5594-030-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-035-000, H5594)

Ownership & related parties

All disclosed owners & managing parties 12

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Community Health Corporation Organization, Sarasota, FL Corporation, Non-profit 5% Or Greater Direct Ownership Interest Jul 1, 2011 5.9%
Nathan K Waldrep Individual Corporate DirectorBoard Member/Director/Ex-Officio Mar 27, 2023
Lynda Gorken Individual Corporate DirectorDirector Jun 4, 2025
Jimmy Baumgartner Individual Corporate DirectorDirector Jul 10, 2024
Christopher Todd Jones Individual Corporate DirectorBoard Member/President Mar 27, 2023
Lance W Green Individual Corporate DirectorBoard / Dir Dec 1, 2021
Louis Galdieri Individual Corporate Director Mar 27, 2023
Carl Tremonti Individual Corporate DirectorBoard Member/Sec/Treas Mar 1, 2019
Baycare Health System, Inc. Organization, Clearwater, FL For-profit 5% Or Greater Direct Ownership Interest Dec 1, 2021 88.2%
Lakeland Regional Health Systems Inc Organization, Lakeland, FL Corporation, Non-profit 5% Or Greater Direct Ownership Interest Dec 1, 2021 5.9%
Timisi Johnson Individual W-2 Managing EmployeeDir of Clinical Services Dec 1, 2021
Jeffrey D Limbocker Individual Corporate DirectorBoard Member/President Mar 27, 2023

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Affiliated clinicians 205

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 205

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1124928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750118400000",
    "number": "1295728186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8452 118TH AVE",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337735007",
            "telephone_number": "727-394-6461",
            "fax_number": "727-394-6540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4616 E STATE ROAD 64",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342089012",
            "telephone_number": "941-727-9880",
            "fax_number": "941-727-0136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYCARE HOME CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-25",
        "last_updated": "2025-06-17",
        "certification_date": "2025-06-17",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "TIMISI",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "727-470-4609",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "HHA299991698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.